How do you approach an ITP patient who responds very well to steroids but the response is short-lived?
How would you counsel the patient if he/she wants to continue on steroids?
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What second line agent do you use in steroid-refractory ITP?
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3 Answers
Mednet MemberInvited Expert
Hematology · Rush University Medical Center
Answered on
Introduce second line therapy. Rituxan pr TPO-RA.
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Mednet MemberInvited Expert
Hematology · University of Washington
Answered on
Rituximab is probably no longer the treatment of choice for ITP secondary therapy for the majority of patients. Although it has a good initial response, the majority of patients relapse in the first 1 to 2 years leaving a choice of retreating and persistent immunosuppression or trying another therap...
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Mednet MemberInvited Expert
Hematology · Former Assistant Chief of the Hematology Branch
Answered on
All choices may apply, depending on the patient's tolerance and specific health issues.
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